Industry: Healthcare

Payer-Accurate Accounting for Healthcare Practices

Etisson places vetted, US-trained accountants inside your CPA firm. Dedicated to your healthcare clients, running full-cycle books and payer-accurate reconciliation every month, at 40% of the US hiring cost.

  • Dedicated Accountant
  • Full-Cycle Monthly Close
  • Insurance & Payer Reconciliation
Healthcare industry solutions

60% lower cost than a US hire

Dedicated accountant from Day 1

Month-End Close

GL Reconciled

Done

Payer Deposits Tied Out

Done

Patient AR Reconciled

Done

Day 3

Books closed and ready for review

Healthcare Accounting Challenges, Solved

Running a healthcare practice means insurance claims, patient billing, and payer mix that general bookkeeping can't keep up with. Here's how Etisson's trained specialists tackle every one.

The Challenge

Where Healthcare Books Get Complicated

Healthcare accounting demands more than basic data entry.

Insurance Claims & Payer Mix

Multiple payers reconciled against claims monthly.

Patient AR & Collections

Patient balances aged and tracked accurately.

Adjustments & Write-Offs

Contractual adjustments tracked separately from revenue.

Multi-Provider Compensation

Provider compensation calculated correctly each month.

The Etisson Approach

How We Solve This

Dedicated accounting experts embedded directly into your firm's workflows.

Reconcile Every Payer

Every insurance deposit tied out monthly.

Track Patient AR Closely

Aging patient balances tracked and reported.

Separate Adjustments Clearly

Write-offs and adjustments broken out clearly.

Calculate Provider Pay

Provider compensation handled correctly monthly.

Accounting Services for Healthcare

End-to-end accounting support designed for healthcare practices, from daily bookkeeping to controller-level oversight.

01

Bookkeeping

Daily transactions, A/P & A/R, payroll entries, payer and patient reconciliation, and monthly close.

Payer Recs

A/P & A/R

Monthly Close

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02

Catch-up/Clean-up Work

Backlogged or disorganized books brought current fast, or rebuilt from scratch for growing healthcare practices.

Backlog Recovery

Book Rebuilds

Reconciliation

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03

Tax and Compliance

US tax compliance including 1040, 1065, 1120/1120-S filings, and 1099 e-filing for providers and contractors.

1065/1120 Filing

1099 E-Filing

1099 Filing

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04

Close and Finalization

Structured month-end close with a reviewer tying out payer deposits, patient AR, and balance sheets before financials reach you.

Month-End Close

Balance Sheet Tie-Out

Review Layer

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05

Controller Services

Cash flow management, budgeting, projections, and provider-level profitability analysis.

Cash Flow

Budgets

Provider Profitability

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06

Migration Work

Clean, structured migration between accounting or practice-management platforms as you standardize systems.

Platform Migration

Data Integrity

Chart of Accounts Setup

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Expertise

Why Healthcare Accounting Expertise Matters

Generic bookkeepers can record transactions and reconcile bank accounts. But healthcare accounting means payer mix, patient AR, and provider compensation, work most accountants aren't set up for. Etisson's accountants are trained and reviewed to a US standard before the work ever reaches you.

What Generic Bookkeepers Miss

  • Accurate insurance payer reconciliation
  • Patient AR aging and collections tracking
  • Contractual adjustments and write-offs
  • Multi-provider compensation calculations
  • Consistent US tax filing discipline

What Etisson Covers

  • Every payer deposit reconciled monthly
  • Patient AR tracked and aged accurately
  • Adjustments and write-offs broken out clearly
  • Accurate provider compensation calculations
  • Year-round 1065/1120/1099 compliance

From Kickoff to First Close in Under 14 Days

No multi-month onboarding. No expensive recruiter fees. Just a vetted accountant inside your firm, working your tools, your way.

Discovery Call

30 minutes. We map your client mix, tools, and workflow gaps.

Matched Accountant

We assign someone with documented healthcare experience within 48 hours.

40 Hour Free Pilot

Real work on a real file. Zero risk, zero commitment. You evaluate fit.

Embedded Long-Term

If it clicks, they stay same person, same process, structured handoffs.

$1.8M+

Trust funds reconciled monthly

12K+

Rental units under our books

2,400+

K-1s prepared each tax season

Day 3

Avg. month-end close

Frequently Asked Questions

Do your accountants understand healthcare accounting?

Yes. They're trained on payer reconciliation, patient AR, and provider compensation, not just standard bookkeeping.

Which platforms do you support?

QuickBooks, Xero, and integrations with practice-management and EHR billing tools, plus your existing tax tools.

What does the 40-hour free pilot cover?

Real work on your actual clients, not a demo. 40 hours of live accounting, and you evaluate quality before committing.

What if my client's payer reconciliations are behind?

That's our most common starting point. We bring backlogged payer and patient AR reconciliations current, or rebuild from scratch.